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Published on: September 11, 2018
Foreign body ingestion in children: Clinical features and complications
Ines Trabelsi1, Soumaya Kbaier1, Yasmine Daoued1
1Department of Pediatric Medicine B, Béchir Hamza Children's Hospital, Faculty of Medicine of Tunis, Tunis el Manar University, Tunis, Tunisia.
Insights
Foreign body ingestion is a common pediatric issue. This study highlights the need for updated management strategies to reduce complications from accidental ingestions in children.
Area of Science:
- Pediatric Gastroenterology
- Accidental Injuries
- Public Health
Background:
- Foreign body ingestion is a frequent pediatric concern due to children's exploratory behaviors.
- Accidental ingestions can lead to significant morbidity if not managed effectively.
Purpose of the Study:
- To update epidemiological and clinical data on foreign body ingestion in children.
- To refine clinical management protocols to minimize associated morbidity.
Main Methods:
- Retrospective descriptive study of children under 15 hospitalized for foreign body ingestion.
- Data collected from January 2016 to December 2021 at Tunis Children's Hospital.
Main Results:
- 44 children included; mean age 4 years 4 months. Most were asymptomatic.
- Batteries (52%) and coins (22%) were common foreign bodies; colon was the most frequent location.
- Complications occurred in 2 patients; endoscopic extraction and natural expulsion times were recorded.
Conclusions:
- Foreign body ingestion in children is a common and potentially serious accidental event.
- Effective management is crucial to limit morbidity in pediatric patients.
Introduction:
The ingestion of foreign body (FB) is a common problem in paediatrics. Children are curious by nature and tend to explore environment by inserting objects into their mouths.
Aim:
To update our epidemiological and clinical data and adapt clinical management in order to limit morbidity associated with this fairly frequent accidental pathology.
Methods:
Retrospective descriptive study including children aged less than 15 years, hospitalized in the Children's Medicine Department B of the Tunis Children's Hospital from 1 January 2016 to 31 December 2021 having ingested a FB.
Results:
Forty-four children were included and admitted for foreign body ingestion, with a sex ratio of 1.4. The mean age was 4 years 4 months. Most children were asymptomatic on admission. In the others, digestive forms predominated (n=19). The average consultation time was 10.8 hours. The FBs were mainly foams and corrosives (75%), represented by batteries in 52% of cases and coins in 22% of cases. Thoraco-abdominal X-rays carried out on all patients revealed a radio-opaque foreign body in 95% of cases. The most frequent location was the colon (n=17). Endoscopy was chosen in 14 patients and was extractive in five. The mean time from admission to endoscopic extraction was 10.6 hours. The mean time to expulsion by natural route was 49 hours. Complications were noted in two patients: ulceration of the oesophageal mucosa and dyspnoea following rigid endoscopy in one case.
Conclusion:
This study has shown that the ingestion of foreign body in children is a frequent and potentially serious accident.
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